ZhaoZhiFu treatment psychosomatic disease experience

Syndrome differentiation insomnia for the first after heart medical its body

DengZhenXia China's traditional Chinese medicine academy of sciences hospital gate

China's traditional Chinese medicine to

        China's traditional Chinese medicine academy of sciences professor gate ZhaoZhiFu hospital of psychosomatic disease experience, pay attention to the doctor of traditional Chinese medicine "psychosomatic unity theory", emphasis on treatment "first to the heart, and then the medical their body" principle. Now the treatment of insomnia wakefulness, summarized the clinical experience, briefly described as follows.

        Pay attention to four diagnostic methods, sift them external cause

        ZhaoZhiFu think, for psychosomatic disease, the survey internal cause can find out the psychological quality, and physical quality of the weak place, namely upright virtual performance; Survey external cause can be find out the psychological, social, biological behavior, a variety of pathogenic factors, namely evil real performance. Undergraduate course the outpatient clinic see insomnia patients mostly history is long, this kind of patient and much by stress factors, such as, because of work requirements and to work overtime, night can't go to bed on time, or because of mental pressure big, the in the mind anxiety, recumbent still can not relax, also have for work or emotions, family events cause, so clinical should be through the four diagnostic methods, especially the inspection and interrogation, collect the patient's many background information.

        ZhaoZhiFu attaches great importance to the patient's whole pattern, including the height body fat thin, the complexion of the fair and rubeosis or bronze chlorosis, face the anxiety depression, skin of lubrication shriveling a wrong, phonetic sound loud or low, the palm of cold, warm, dry or wet, colour and lustre red thick or pale, inference patients constitution cold temperature with the actual cause the Yin and Yang attribute, the temperament of the feminine and masculine, anxiety, depression, fear, worry, etc.; Then by asking the nature of work such as physical or mental, individual, officials, teachers and cadres, civilian, management, students' know its spirit condition, economic status and body adjustment ability, love life such as single, marriage divorce, litters, husband and wife relationship between cut its psychological demand, cognitive behavioral character, personality such as impatient, gentle, worry about, the pursuit of perfect comprehensive observe its psychological status and sources of stress, and combined with ten asked content, analysis of the zang-fu organs of the body and the actual Yin and Yang, qi and the characteristics of the disorder.

        Grasp the pathogeny and pathogenesis, distinguishes the its firm soft false or true

        In the Ming dynasty ZhangJieBin necessary the JingYue encyclopedia · roll 18 · insomnia "have cloud:" insomnia card although disease have is differ, but only know evil are two words are the best do. Cover mei based on Yin, god the Lord also, god is god, insomnia, upset, insomnia, its so upset by the evil person, a perturbation, a lack of gas by the camp; and all the more, no evil person are deficiency syndrome." The qing dynasty 林珮琴 necessary the class certificate to cut · insomnia treatment "also yue:" sun be the spirit to be automatic and the static, insomnia, the sun be the spirit from the static and dynamic, keep it." From the top, it is known that the normal sleep is the mind the Lord, sun be the spirit by regulated static, namely for sleep state; Conversely, sun be the spirit by static turns, namely for the waking state. Camp guard the normal operation of Yin and Yang is to adjust the basis of dream, the mechanism of which is Yin and Yang qi natural and regular transformation result, if the law once destroyed, it can lead to the occurrence of insomnia. ZhaoZhiFu think: psychosomatic disease incidence after first hurt liver, heart, spleen, lung spread, time and kidney. More than the early for liver and spleen with disease, liver and heart with disease, liver with lung disease, late for more liver-kidney Yin deficiency or liver and spleen kidney Yang deficiency. The end of the dragon's Yin, Yang wu, Yin and Yang from unique and final. Disease resistance for firm soft can't phase ji, and to drain dereliction of duty, stagnancy of qi and blood stasis and phlegm dankness trapped or QiNi change fire, heat injury cloudy, lifting of company, day long by real turn virtual, spleen stomach or kidney empty liver prosperous, rarely pure deficiency syndrome.

        Liver advocate storing blood, the main pathogenesis, adjustable chang characteristic, have the most easily characteristic is very hurt liver, so the key pathogenesis in liver, affecting both syndrone two dirty. Liver for just dirty, body Yin and Yang, etc. Drain too or stagnation not easy, all can make by the qi, camp guard disorder and insomnia. According to person's temperament masculine and feminine properties caused by different liver drain too and less than to differentiate, just certificate in ferrite masculine, quick temper, she easily upset irritability, emotional, phonetic sound loud, action quick; Soft certificate in ferrite feminine temperament, flat daily depressed, mood depression, silent, behavior cautious man. Differentiation of symptoms and signs not only should pay attention to the liver drain bias, should also pay attention to the liver of the zang-fu organs and Yin and Yang, qi and change and stagnancy of qi and blood stasis and phlegm wet, so can verify the remedy to the case.

        The author in the past two years ZhaoZhiFu statistics treatment of insomnia cases, among them just certificate and the certificate of the proportion is about 5:1, just card obvious a soft card, and just card and especially in the heart Yin deficiency and and card which is. Investigate its reason, probably because the modern society is no longer ancient male tillage female woven agricultural society model, the difference between the men and women divides the work no longer, it is because of such social model determines the modern triggers diversity and complexity. Rich wealthy diet condition, plus the interior office to mental activity is in the majority, physical activity decreases, spiritual thinking activity increased, both disproportionately to the polarization of development, heart, liver, spleen three dirty damaged, camp guard feud, imbalance between Yin and Yang, god uneasy cause insomnia is the sticking point of the disease. Therefore, paying attention to the patients psychological and social background become the key factor of the treatment of this disease.

        For the first heart, and then the medical its body

        For psychosomatic disease treatment, ZhaoZhiFu advocate "first to the heart, and then the medical their body" principle. From the doctor of traditional Chinese medicine "psychosomatic unity of" firstly, through the analysis of the patient's own with family members, friends, colleagues, boss and the society, the relationship between the instruct client to establish correct cognitive view, to adjust their psychological thoughts, relieve psychological obstacles, and to establish the good life and eating habits, such as bed early, hun vegetable union, increase aerobic exercise (walking, jogging, swimming, playing taiji, etc.) and outdoor sports, through changing its environment and mentality, and gradually corrected its extreme personality, such as irritable, depression do not wish speech, etc., so as to reduce because of its personality is caused by a number of negative life events and is eliminated namely exogenous evil real performance, to achieve the purpose of for the heart.

        In drug in the treatment of "spirit pivot · evil guest article" for "the eyes are not Ming" mentioned: "make up for its insufficiencies, reducing its enough and to spare, and adjustable its false or true, in order to pass the way and to its evil, drinking in pinellia tuber soup a agent, Yin and Yang already pass, the lie made to." It should focus on the disease and its modulation viscera qi and Yin and Yang. Combined with syndrome differentiation and treatment method, firm soft soft to system just, just to system soft, specific for liver drain too caused just certificate with soft liver method, restrain the drain, drug preferred radix paeoniae alba, take its acid reducing the sex to purging liver prosperous, slow its drain too; And liver drain inferior to soft certificate, with just method with soothing the liver, enhance its etiological role, drug preferred radix bupleuri, take its cosin to evacuation of liver depression, namely neijing said, "the use of symplectic complement, with acid reducing". For clinical common insomnia card type, those with heart Yin deficiency for soft liver yangxin, main medicinal radix paeoniae alba, radix salviae miltiorrhizae, Fried jujube benevolence, platycladi seed, etc.; In the heart the fire for purging liver call, the main medicinal gardenia, cortex moutan, light black bean sauce, chrysanthemum, mulberry leaf, etc.; Cure stomach with soothing the liver, the main medicinal radix bupleuri, radix paeoniae alba, fructus aurantii immaturus, Fried sweet attached, green tangerine peel, stone calamus, etc., and glove two virtual person close tuckahoe, rhizoma atractylodis macrocephalae, sand benevolence, chicken's gizzard-membrane, dangshen and platycladi seed, the seed of wild jujube, and YinShang, the whole seed of wild jujube, platycladi seed, mother of pearl, etc.; Liver spleen deficiency fan who always by soft liver spleen is given priority to, medicinal dangshen, rhizoma atractylodis macrocephalae, poria cocos, sand benevolence, inner gold, radix paeoniae alba, radix salviae miltiorrhizae, Fried jujube benevolence, platycladi seed, etc.; According to whether change fire or turn heat, add a mulberry leaf, chrysanthemum, mint to remove liver heat. If and spleen Yang deficiency or and wet, then add to use cinnamon and nutmeg, gun ginger, galangal, evodia rutaecarpa, cumin isothermal spleen Yang or add with tuckahoe, rhizoma atractylodis macrocephalae, sand benevolence, etc the spleen turn wet; In addition, because of insomnia pathogenesis of total to Yin and Yang don't pay, god is the Lord, therefore, to add more than party with town latent, Louisiana astringent convergence of the medicine such as the mother of pearl, burnt magnet, raw oysters, born keel and traffic Yin and Yang of the medicine such as cortex albiziae, tuber fleeceflower, lily, radix polygoni multiflori rattan, etc.